Senior Medicaid Claims & Eligibility Analyst (Remote)
Gainwell Technologies LLC
- Remote job
Gainwell Technologies is seeking a Senior Business Analyst for Medicaid Claims & Eligibility to apply expertise in Medicaid programs, business analysis, and process improvement on critical healthcare initiatives for clients and their members. The role includes coordinating a business analyst team on IT projects and bridging clients, PMs, and technical staff to define clear requirements, while identifying opportunities to improve processes and system design. #J-18808-Ljbffr Gainwell Technologies LLC
$190k - $240k
Senior Fellow - Medicaid (Remote Eligible) About Mathematica Mathematica applies expertise at the intersection of data, methods, policy, and practice to improve well-being around the world. We collaborate closely with public- and private-sector partners to translate big...Remote jobSeniorContract workLocal areaWork from home$85.47k - $111k
...Claims Module Senior Business Analyst About the Role This individual will play the role... ...should have good knowledge of Medicaid and Medicare. Candidate... ...working conditions: Remote work: Enjoy the convenience... ...on business need, may be eligible for a bonus or incentive....Remote workSeniorWork from homeFlexible hours- ...Senior Medicaid Consultants – Policy, Waivers & State Programs United States (Remote) | Contract & Contract-to-Hire Opportunities... ...Program integrity and claims Benefits, eligibility and coverage policy... ...Senior Medicaid Policy Analyst Medicaid Waiver Specialist...Remote workSeniorFull timeContract work
- ...Senior Business Operations Analyst - CEV/Medicaid/SNAP Be part of a team that unleashes the power of leading-edge... ...improvement initiatives within Customer Eligibility Verification (CEV), Medicaid, and... ...should expect in this role Fully remote options from most US locations...Remote workSeniorWork experience placementFlexible hours
$100k - $115k
...Senior Consultant, Medicaid Practice Group BerryDunn is seeking a Senior Consultant to join our Medicaid... ...lifecycle. You will be either remotely based or out of one of our several... ...our employees and help them thrive. Eligible employees have access to benefits that...Remote workSeniorWork at office$110k
...enough. We review high-dollar claims before they are paid,... ...review experience. Medicare and Medicaid experience alone is not sufficient... ...area preferred, but remote work is possible for a highly... ...before they pay it. As our Senior Claims Analyst, you will build the pipeline...Remote workSeniorFull timeTemporary workWork at officeWork from home2 days per week$32k - $42k
...Position : Senior Healthcare Claims Processor Location : Remote, Eastern Standard Time (EST) based... ...lead, trainer, mentor, analyst, or subject matter expert... ...is tied to defined eligibility and covered conditions.... ...Experience with Medicare, Medicaid, commercial payer,...Remote workSeniorFull timeContract work- ## Senior Claims AnalystApply: Remote - Massachusetts: Full time: Posted Today: R26\\_0000003143Built on... ...Intermediaries** is seeking a **Senior Claims Analyst**to join our growing team.As we... .... Enrollment waiting periods or eligibility criteria may apply to certain...Remote workSeniorHourly payFull timeFor contractorsWork experience placementWorldwide
$67k - $126k
...67000.00 - $126000.00 Job Category: Claims Description Are you looking for an... ...offers an exciting opening for a Senior Workers Compensation Claims Specialist... ...considered in all locations and may be eligible for 100% remote work. Please note that this policy is...Remote workSeniorFull timeWork experience placementLocal area$130.87k - $197.72k
...recruiter directly. We are looking for a Senior Complex Claims Analyst - Management Liability - Private D&O... ...programs, employees are also eligible for annual performance-based cash incentive... ...between in-person collaboration and remote working. Please feel free to discuss...Remote workSeniorPermanent employmentFull timeContract workWork at officeLocal areaWorldwideFlexible hours$64.9k - $92.7k
...often (in days) to receive an alert: Senior Business Analyst - Medicaid Date: Oct 1, 2026 Location: Any... ...should expect in this role Fully remote options from most U.S. locations and... ...salaried, full-time candidates are eligible for our generous, flexible vacation...Remote workSeniorFull timeFlexible hours$74.12k - $92.65k
...Our partner is looking for a Carrier Senior Claims Oversight Analyst based in the United States. Role... ...improvements in claims management. This fully remote opportunity offers the chance to... ...depending on work location and eligibility. \n How Jobgether works:...Remote workSeniorFull timeTemporary workFlexible hours$98k
...and technical requirementsfor claims audits and post-payment... ...instate health agencies,Medicare/Medicaid,VA, and healthcare reform. Ability... ...While this role is available remotely, strong preference will be... ...Holidays Position may be eligible for a discretionary variable...Remote jobSeniorFull timeTemporary workWork at officeLocal areaFlexible hours2 days per week3 days per week$110.63k - $175k
....We are currently seeking a Medicaid Claims Operations Consultant to join... ...will work with Business Analysts from the Agency and NTT DATA... ...starting pay range for this remote role is $110,625 - $175,000.... ...qualifications.This position is eligible for company benefits...Remote workContract workTemporary workFor contractorsWork experience placementWork at officeFlexible hours$50k - $60k
SENIOR PROCESSOR OF MEDICAID PAY-IN PAYMENTS Full-time Agency: HRA/DEPT OF SOCIAL SERVICES Job Category... ...BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE CHANGE The... ...and money orders to the bank through remote deposit. Review Medicaid Surplus payments...Remote workSeniorPermanent employmentFull timeWork at officeLocal area- ...Experienced in hospital claims adjudication, the full-time remote Senior Claims Analyst will analyze hospital bills and claims data to identify billing errors and negotiate claim adjustments on behalf of ASO clients. Key Responsibilities Perform detailed audits of hospital...Remote workSeniorFull time
- ...reviewing the Medicare and Medicaid cost reports for all... ...of the Reimbursement Analyst daily work schedule including... ...reporting. The Senior Reimbursement Consultant... ...condition of employment Remote Work Disclaimer Positions... ...as remote are only eligible for work from Ohio. WE...Remote workSeniorLocal areaShift work
- Union County, NC Department of Social Services seeks a Senior Eligibility Specialist to lead and perform eligibility determinations for Food and Nutrition, TANF, Medicaid, and related programs. The role includes supervising a unit, training new staff, and ensuring accuracy...Senior
$99.86k - $133.25k
...considering opportunities with us! Job Title Homeowner Claims Quality Assurance Senior Analyst - Remote Requisition Number R7978 Homeowner Claims... ...We offer a total compensation package, annual bonus eligibility for most roles, 401(k) with a company match, and so...Remote workSeniorHourly payFull timeTemporary workWork experience placementH1bWork at officeWork from homeFlexible hours$140k - $170k
...underwriting, loss control, and claims practices, to provide superior... .... Responsibilities The Senior Claims Consultant - Private D&... ...in our Chicago office, or remote locations for highly qualified... ...conditions of employment.This role is eligible to participate in the annual...Remote workSeniorFull timeWork at officeLocal area$50k - $56k
...HealthProof is looking for a Senior Enrollment Specialist, reporting... ...and maintain all applicable eligibility requirements Be responsible... ...Be responsible to review Medicaid eligibility and complete verification... ...Geographic Responsibility: Remote, US Type of Employment: Full...Remote workSeniorPermanent employmentFull timeFor contractorsWork at office$18 - $23 per hour
...motor vehicle accident claims workers compensation... ...and out of state Medicaid we take on the work that... ...Were looking for a Senior Claims Analyst to submit electronic... ...demographics insurance eligibility and benefits. Enter... ...confidentiality obligations US remote-based colleagues are...Remote workSeniorHourly payPermanent employmentFull timeWork at office- Humana seeks a Senior Product Owner to convey the Medicaid product vision and roadmap to an Agile team by defining user stories and prioritizing the backlog. The role manages moderately complex to complex issues, coordinating with stakeholders and the development team to...Remote jobSenior
$175k - $225k
...and improves ecosystems. If you're passionate about this, we want to hear from you!About the RoleMWH is seeking a remote Senior Construction Claims Analyst. The Analyst will be responsible for evaluating, analyzing, and resolving construction-related claims and disputes...Remote workSeniorTemporary workFor contractorsFor subcontractorLocal area- ...Procedure Scheduling Representative II to act as the senior operations liaison across scheduling, eligibility, providers, and operations. The role includes... ...handling escalations while maintaining HIPAA compliance. Remote in Maryland or New Jersey, with responsibilities...Remote jobSenior
- Humana is seeking a Senior Product Owner to convey the Medicaid product vision and roadmap to an Agile delivery team by defining user stories and prioritizing the backlog. The role involves leading the team through moderately complex to complex challenges with data-driven...Remote jobSenior
- Humana is seeking a Senior Product Owner to articulate the Medicaid product vision and roadmap to an Agile delivery team by defining user stories and prioritizing the backlog. You will drive the backlog, coordinate with stakeholders, and ensure incremental value is delivered...Remote jobSenior
- ...Job Description EDW Senior Medicaid SME (Federal Reporting... ...& Data Strategy) Remote (Must Reside in the Continental... ..., FMAP calculations, claiming categories, and... ...strategies Mentor analysts, developers, and... ...of Medicaid claims, eligibility, provider, encounter,...Remote workSeniorPermanent employmentContract work
$35.22 - $43.04 per hour
...re actively seeking a talented Sr. Life Claims Specialist to join the Workforce Benefits... ...Omaha NE (4 days in office required) or remote in Tennessee. . How you'll help move... ...Apply policy provisions to evaluate eligibility, validate beneficiary information, and gather...Remote workSeniorWork experience placementWork at officeFlexible hours$69.4k - $99.2k
...development. Summary As a Senior Business Analyst - Medicaid Claims & Eligiblity at Gainwell, you... ...experience supporting Medicaid claims and eligibility operations , combined with strong... ...expect in this role ~ Fully remote options from most US locations and...Remote workSeniorFull timeFlexible hours
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